ARK Counseling Ltd.

ARK Counseling Ltd. Amanda Ripley-Kayala is a Licensed Professional Clinical Counselor, a Licensed Alcohol and Drug Counselor.

Amanda is trained in EMDR and has completed UW-Stout’s S*x Therapy Certificate Program.

05/10/2026

The cycle of s*xual pain:

1. Anticipation of pain: an internal alarm goes off to protect you from pain and harm.

2. Involuntary reaction: the body braces and protects from that which causes pain. This is an adaptive, self-protective mechanism and it makes sense.

3. Painful s*x: this is typically due to whatever the source of the pain is plus the involuntary (automatic) tension and bracing for pain, which can unintentionally exacerbate the painful experience.

4. Pain reinforces: painful s*x reinforces the body’s learned reaction, to avoid the experience or to tense up when s*x is attempted.

5. Retention: the body files away the experience as negative. S*x + pain teaches the body that s*x is not pleasurable, is painful, and isn’t something worth doing.

6. Avoidance: s*xual intimacy can become avoided and low sexual desire may develop, since having s*x is painful and uncomfortable. Again, this makes sense.

This information is from the website: vaginismus.com. The cause of some people’s v*ginal/s*xual pain could be due to a condition called vaginismus, which is involuntary v*ginal muscle contractions with attempts at pe*******on. It could also be from dozens of other conditions. Regardless of the source of the pain, the cycle seems to be similar.

If you have a v*lva/v*gina and experience pelvic/s*xual pain, I highly recommend seeing a s*xual medicine specialist. You can find a provider here: isswsh.org. I also recommend seeing a s*x therapist who is knowledgeable in treating s*xual/pelvic pain.

Recommended reading: When S*x Hurts by Goldstein, Pukall, and Goldstein, and Krapf.

Disclaimer: Content is for educational purposes and doesn’t constitute therapy. Posts are generalized and may not fit all individuals or situations. Please only do what’s best for you and your situation. My posts don’t speak to situations of abuse, active addiction, or certain mental health conditions. Please excuse the spelling. It’s to get around a medium that isn’t friendly to this type of educational content.

04/08/2026

Consent is not the absence of “no.” It’s the presence of a clear, mutual, and ongoing “yes.”

Without consent, there isn’t safety, trust, or intimacy. Clear, ongoing consent protects emotional/physical safety, builds respect, and creates a space where people can experience pleasure and connection.

Disclaimer: Content is for educational purposes and doesn’t constitute therapy. Posts are generalized and may not fit all individuals or situations. Please only do what’s best for you and your situation. My posts don’t speak to situations of abuse, active addiction, or certain mental health conditions.

04/07/2026

Hello all!
I have some openings in my schedule! Please feel free to reach out or share this information if you are interested!

04/05/2026

Among so many other things that therapists can and can’t do. What would you add?

Disclaimer: Content is for educational purposes and doesn’t constitute therapy. Posts are generalized and may not fit all individuals or situations. My posts don’t speak to situations of abuse, active addiction, or certain mental health conditions.

03/24/2026
03/24/2026
03/10/2026
02/07/2026

The next Trans Name Change clinic with is happening on March 27! In this brief legal advice clinic, volunteer attorneys will walk clients through the name change and/or gender marker change process and help them draft legal forms to start the process. By appointment only–register at the link in our bio!

02/05/2026

Address

1185 Concord Street N, Suite 300D
South Saint Paul, MN
55075

Website

Alerts

Be the first to know and let us send you an email when ARK Counseling Ltd. posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to ARK Counseling Ltd.:

Share